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  1. Article ; Online: Intrinsic Fixation of the Tibial Sesamoid in First Metatarsophalangeal Joint Arthrodesis: A Cadaveric Study.

    Zulauf, Emily E / Connors, James C / Boike, Allan M / Hardy, Mark A

    Clinics in podiatric medicine and surgery

    2020  Volume 37, Issue 2, Page(s) 287–293

    Abstract: Nonunion rate of first metatarsophalangeal joint (MTP) joint arthrodesis is reportedly less than 6%, regardless of fixation type. Robust modern plating constructs aim to decrease incidence of nonunion while also allowing early postoperative weight- ... ...

    Abstract Nonunion rate of first metatarsophalangeal joint (MTP) joint arthrodesis is reportedly less than 6%, regardless of fixation type. Robust modern plating constructs aim to decrease incidence of nonunion while also allowing early postoperative weight-bearing. Quicker transition to weight-bearing postoperatively increases patient adherence, decreases adjacent joint stiffness, and reduces risk of deep vein thrombosis in the postoperative period. The purpose of this study was to investigate the effect tibial sesamoid fixation has on first MTP joint arthrodesis.
    MeSH term(s) Aged ; Arthrodesis ; Cadaver ; Female ; Fracture Fixation, Internal ; Hallux Rigidus/surgery ; Humans ; Male ; Metatarsophalangeal Joint/physiopathology ; Metatarsophalangeal Joint/surgery ; Middle Aged ; Sesamoid Bones/surgery ; Tibia/surgery ; Weight-Bearing/physiology
    Language English
    Publishing date 2020-01-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1323674-x
    ISSN 1558-2302 ; 0742-0668 ; 0891-8422
    ISSN (online) 1558-2302
    ISSN 0742-0668 ; 0891-8422
    DOI 10.1016/j.cpm.2019.12.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Radiofrequency Ablation for the Treatment of Painful Neuroma.

    Connors, James C / Boike, Allan M / Rao, Nilin / Kingsley, J Derek

    The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons

    2020  Volume 59, Issue 3, Page(s) 457–461

    Abstract: Mechanical compression of interdigital nerves beneath the deep transverse intermetatarsal ligament and between the metatarsal heads leads to painful irritation and possible fibrosis. Conservative measures of padding and injections often fail to provide ... ...

    Abstract Mechanical compression of interdigital nerves beneath the deep transverse intermetatarsal ligament and between the metatarsal heads leads to painful irritation and possible fibrosis. Conservative measures of padding and injections often fail to provide long-term relief. Surgical excision provides definitive relief, but the procedure is not without risk. Incomplete excision and stump neuroma formation are a few of the possible complications associate with open excision. This retrospective cohort study was performed to provide a review of the available literature on the identification and treatment of interdigital neuromas and to examine the overall incidence of patient satisfaction after radiofrequency ablation as definitive treatment for interdigital neuroma formation. This study population consisted of 32 patients (25 females and 7 males with 1 patient having bilateral procedures) with a mean age of 46.3 ± 17 (range 31 to 65) years. For all procedures, the median patient satisfaction score was 92.5 (interquartile range 50 to 100) of 100, with a mean follow-up period of > 2.5 years. Only 1 patient in the study population reported no relief after 3 total procedures. Radiofrequency ablation offers a minimally invasive alternative with a short postoperative recovery course and considerably fewer complications compared with surgical excision of the intermetatarsal neuroma as described in prior reports.
    MeSH term(s) Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Morton Neuroma/complications ; Morton Neuroma/diagnosis ; Morton Neuroma/therapy ; Pain/diagnosis ; Pain/etiology ; Pain/prevention & control ; Pain Measurement ; Patient Satisfaction ; Radiofrequency Ablation ; Recovery of Function ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2020-04-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1146972-9
    ISSN 1542-2224 ; 1067-2516
    ISSN (online) 1542-2224
    ISSN 1067-2516
    DOI 10.1053/j.jfas.2019.09.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: A practical guide for examining and treating the diabetic foot.

    Boike, Allan M / Hall, James O

    Cleveland Clinic journal of medicine

    2002  Volume 69, Issue 4, Page(s) 342–348

    Abstract: Physicians can perform a quick, complete examination of the feet of patients with diabetes to prevent serious complications. The examination should focus on circulation, nerve function, musculoskeletal problems, and the skin. All patients should be urged ...

    Abstract Physicians can perform a quick, complete examination of the feet of patients with diabetes to prevent serious complications. The examination should focus on circulation, nerve function, musculoskeletal problems, and the skin. All patients should be urged to wear supportive, comfortable shoes, and to wash, moisturize, and examine their feet every day.
    MeSH term(s) Arthropathy, Neurogenic/diagnosis ; Arthropathy, Neurogenic/etiology ; Arthropathy, Neurogenic/therapy ; Diabetic Foot/diagnosis ; Diabetic Foot/etiology ; Diabetic Foot/therapy ; Diabetic Neuropathies/complications ; Diabetic Neuropathies/diagnosis ; Foot Ulcer/diagnosis ; Foot Ulcer/etiology ; Foot Ulcer/therapy ; Humans ; Infection/diagnosis ; Infection/etiology ; Infection/therapy ; Musculoskeletal Diseases/diagnosis ; Musculoskeletal Diseases/etiology ; Neurologic Examination ; Physical Examination ; Skin Diseases/diagnosis ; Skin Diseases/etiology ; Skin Diseases/prevention & control
    Language English
    Publishing date 2002-05-03
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 639116-3
    ISSN 0891-1150
    ISSN 0891-1150
    DOI 10.3949/ccjm.69.4.342
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Sesamoid disorders of the first metatarsophalangeal joint.

    Boike, Allan / Schnirring-Judge, Molly / McMillin, Sean

    Clinics in podiatric medicine and surgery

    2011  Volume 28, Issue 2, Page(s) 269–85, vii

    Abstract: The sesamoid complex is located centrally and plantar to the first metatarsal head, where they are imbedded within the plantar plate, which transmits 50% of body weight and more than 300% during push-off, is susceptible to numerous pathologies. These ... ...

    Abstract The sesamoid complex is located centrally and plantar to the first metatarsal head, where they are imbedded within the plantar plate, which transmits 50% of body weight and more than 300% during push-off, is susceptible to numerous pathologies. These pathologies include sesamoiditis, stress fracture, avascular necrosis, osteochondral fractures, and chondromalacia, and are secondary to these large weight-bearing loads. This article discusses sesamoid conditions and their relationship with hallux limitus, and reviews the conditions that predispose the first metatarsophalangeal joint to osteoarthritic changes.
    MeSH term(s) Bone Diseases/complications ; Bone Diseases/diagnosis ; Bone Diseases/surgery ; Fractures, Bone/complications ; Fractures, Bone/diagnosis ; Fractures, Bone/surgery ; Hallux Limitus/etiology ; Hallux Limitus/physiopathology ; Hallux Limitus/surgery ; Humans ; Osteitis/complications ; Osteitis/diagnosis ; Osteitis/surgery ; Osteotomy/methods ; Sesamoid Bones/injuries
    Language English
    Publishing date 2011-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1323674-x
    ISSN 1558-2302 ; 0742-0668 ; 0891-8422
    ISSN (online) 1558-2302
    ISSN 0742-0668 ; 0891-8422
    DOI 10.1016/j.cpm.2011.03.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Effect of Surgical Weight Loss on Plantar Fasciitis and Health-Care Use.

    Boules, Mena / Batayyah, Esam / Froylich, Dvir / Zelisko, Andrea / O'Rourke, Colin / Brethauer, Stacy / El-Hayek, Kevin / Boike, Allan / Strong, Andrew T / Kroh, Matthew

    Journal of the American Podiatric Medical Association

    2018  Volume 108, Issue 6, Page(s) 442–448

    Abstract: Background:: Plantar fasciitis (PF) is one of the most common causes of heel pain. Obesity is recognized as a major factor in PF development, possibly due to increased mechanical loading of the foot due to excess weight. The benefit of bariatric surgery ...

    Abstract Background:: Plantar fasciitis (PF) is one of the most common causes of heel pain. Obesity is recognized as a major factor in PF development, possibly due to increased mechanical loading of the foot due to excess weight. The benefit of bariatric surgery is documented for other comorbidities but not for PF.
    Methods:: A retrospective medical record review was performed for patients with PF identified from a prospectively maintained database of the Cleveland Clinic Bariatric and Metabolic Institute. Age, sex, surgery, excess weight loss, body mass index (BMI), and health-care use related to PF treatment were abstracted. Comparative analyses were stratified by surgery type.
    Results:: Two hundred twenty-eight of 10,305 patients (2.2%) had a documented diagnosis of PF, of whom 163 underwent bariatric surgery and were included in the analysis. Eighty-five percent of patients were women, mean ± SD age was 52.2 ± 9.9 years, and mean ± SD preintervention BMI was 45 ± 7.7. Postoperatively, mean ± SD BMI and excess weight loss were 34.8 ± 7.8 and 51.0% ± 20.4%, respectively. One hundred forty-six patients (90%) achieved resolution of PF and related symptoms. The mean ± SD number of treatment modalities used for PF per patient preoperatively was 1.9 ± 1.0 ( P = .25). After surgery, the mean ± SD number of treatment modalities used per patient was reduced to 0.3 ± 0.1 ( P = .01).
    Conclusions:: We present new evidence suggesting that reductions in BMI after bariatric surgery may be associated with decreasing the number of visits for PF and may contribute to symptomatic improvement.
    MeSH term(s) Adult ; Body Mass Index ; Databases, Factual ; Fasciitis, Plantar/etiology ; Fasciitis, Plantar/physiopathology ; Female ; Gastrectomy/methods ; Gastric Bypass/methods ; Humans ; Male ; Middle Aged ; Obesity, Morbid/complications ; Obesity, Morbid/surgery ; Pain Measurement/methods ; Prognosis ; Retrospective Studies ; Severity of Illness Index ; Treatment Outcome ; Weight Loss
    Language English
    Publishing date 2018-04-04
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 632622-5
    ISSN 1930-8264 ; 0003-0538 ; 8750-7315
    ISSN (online) 1930-8264
    ISSN 0003-0538 ; 8750-7315
    DOI 10.7547/15-169
    Database MEDical Literature Analysis and Retrieval System OnLINE

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